Dashwood M R, Feldberg W
Br J Pharmacol. 1980 Apr;68(4):697-703. doi: 10.1111/j.1476-5381.1980.tb10862.x.
1 The effect on arterial blood pressure of intravenous injections of naloxone (200 mug) was examined in cats anaesthetized with chloralose. Usually these injections have no effect on blood pressure unless morphine or opioid peptides have been injected, when they produce a pressor response with tachycardia.2 It was found that these injections produced a pressor response with tachycardia after a combination of two or more of the following surgical procedures: (1) tying sinus nerves, (2) removing stellate ganglia, (3) cutting vagi, (4) evisceration.3 The pressor responses obtained in these conditions are taken as evidence that such procedures induce the release of endogenous opioid peptides.4 The pressor responses to naloxone were greatest when all four surgical procedures had been performed and were then due to adrenaline secretion, evoked centrally by a sympathetic discharge to the adrenals.5 If either the stellate ganglia or the viscera were left intact, but the remaining three surgical procedures performed, then the pressor responses to naloxone were due to a sympathetic discharge to adrenals and to blood vessels.6 In cats that had received a subcutaneous injection of morphine (2 mg/kg) the adrenals played a minor role in the pressor responses to naloxone, unless the four surgical procedures had been performed. Then the adrenals became entirely responsible for them.7 The opioid peptides released after the surgical procedures may be enkephalins or the C-fragment of lipotropin (beta-endorphin). The stimulus for their release may be interruption of afferent sensory pathways from viscera or the ;stress' associated with the surgical procedures.
在用氯醛糖麻醉的猫身上,研究了静脉注射纳洛酮(200微克)对动脉血压的影响。通常情况下,这些注射对血压没有影响,除非事先注射了吗啡或阿片肽,此时会出现伴有心动过速的升压反应。
发现以下两种或更多种外科手术联合进行后,这些注射会产生伴有心动过速的升压反应:(1)结扎窦神经;(2)切除星状神经节;(3)切断迷走神经;(4)去除内脏。
在这些情况下获得的升压反应被视为这些手术诱导内源性阿片肽释放的证据。
当所有四种外科手术都进行后,对纳洛酮的升压反应最大,此时是由交感神经向肾上腺放电在中枢引起肾上腺素分泌所致。
如果星状神经节或内脏保持完整,但进行其余三种外科手术,那么对纳洛酮的升压反应是由交感神经向肾上腺和血管放电引起的。
在皮下注射了吗啡(2毫克/千克)的猫中,除非进行了四种外科手术,否则肾上腺在对纳洛酮的升压反应中起次要作用。此时肾上腺则完全对此负责。
外科手术后释放的阿片肽可能是脑啡肽或促脂素的C片段(β-内啡肽)。其释放的刺激因素可能是来自内脏的传入感觉通路的中断或与手术相关的“应激”。